MUSCLE FUNGAL GRANULOMA DUE TO CLADOSPORIUM SPECIES: A NOVEL SURPRISE

Author:

Tendulkar Sushrut1,Merchant Mikail2,Thakur Abhijit3,Misquitta Hansel2

Affiliation:

1. MBBS: DNB Resident, Dept. of General And Minimal Access Surgery, Sir H.N. Reliance Foundation Hospital And Research Centre, Mumbai, India

2. MBBS: House Medical Ofcer, Dept. of General And Minimal Access Surgery, Sir H.N. Reliance Foundation Hospital And Research Centre, Mumbai, India

3. MBBS, MS: Consultant General and Laparoscopic Surgeon, Dept. of General And Minimal Access Surgery, Sir H.N. Reliance Foundation Hospital And Research Centre, Mumbai, India

Abstract

The spectrum of mycotic diseases continue to expand, making it challenging for treatment of infections caused by a diverse array of opportunistic fungi especially in immuno-compromised individuals. The species of Cladosporium implicated in human infections is found as causative agents for infections of the central nervous system, lung, liver, keratitis, and dental granulomas. Involvement of a muscle by a fungal granuloma in an immunocompromised individual by Cladosporium species is very rare and has been never reported before to the best of our knowledge. Below we present a novel case of a 34 year old, Post-transplant Immunocompromised male to have developed a lump within the Triceps Brachii muscle which was found to be a Cladosporium Cladosporioides granuloma and was treated successfully with a multimodal approach of Surgery and Voriconazole anti-fungal therapy.

Publisher

World Wide Journals

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